Grant Report Form

Grant Program:

Report Type:

Final

Interim

Grant Number: #

The 8 digit grant number can be found at the bottom of your grant acknowledgement form or in your grant award letter.

Date:

Organization Information

Organization:

Funded Project Title:

Amount Received: $

Date Awarded:

Grant Information

Please keep responses brief.

Brief Description of Project:

Number of People Served by Project:

Were the original goals for this project achieved? Describe any unexpected obstacles, difficulties or changes in your goals or project.

Were you able to meet the original funding goals for the project? If not how did you accommodate the shortfall?

If applicable, how will you continue this program beyond the grant period?

How was the grant helpful to your organization?

Supported a project that has improved our programs/services for our main target population.

Allowed us to expand our services to new communities or populations.

Leveraged additional money.

Supported a collaboration with new partner organization(s).

Enhanced our organization's capacity or improved the organization's management.

Increased the visibility of the organization.

Broadened our organization's membership or base of support.

Other

Please check all that apply.

Image Caption:

Please include what text you would like to appear to describe the photo along with the photo credit (if applicable). If the image is too large or you would like to send more than one, please email them to j.ruh@eccf.org.

Name of Person Completing Form:

Email of Person Completing Form:

When you hit submit, a copy of this report will also be sent to the email address listed above. Note: Because the email sent to you is generated automatically upon submission of the form it may be flagged as spam, so if you do not find it in your inbox, please check your junk folder. Thank you!

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Grant Report Form

Organization Information

Grant Information